Centre for Immediate Care Services
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Centre for Immediate Care Services
THE MERIT PROJECT
Medical Emergency Responders:
Integration & Training
UCD School of Medicine & Medical Science UCD School of Medicine & Medical Science
Centre for Immediate Care Services
AIMS Funding Agencies
• Establishment of structures to train, equip,
and integrate Registered Medical practitioners • Pre Hospital Emergency Care Council (PHECC)
• Explore liaison structures between • Taskforce on Sudden Cardiac Death
Registered Medical Practitioners / Co-Ops • HSE
Ambulance Service & Communities
UCD Centre for Immediate Care Services
PHECC REQUEST – MAY 2006 DEFIB PURCHASE
EU TENDER COMPLETED JAN 2006
“……. To embark on a joint exercise with the HSE
• Technical capacity
to come up with standard specifications for defibrillator
• Clinical purpose
types to suit various contexts e.g. Community First
• Quality / reliability / performance
Responders, Emergency Medical First Responders,
• User friendliness
Paramedics,
Paramedics Advanced Paramedics and Registered
• Battery
Medical Practitioners.”
• Upgrade to new ALS guidelines
• Cost
UCD Centre for Immediate Care Services UCD Centre for Immediate Care Services
WORKING GROUP SET UP WELCOME TO THE FIRST NATIONAL DEFIB STANDARDS MEETING
BELFIELD - 13th SEPTEMBER 2007
Prof Gerard Bury
Mr Brendan Cavanagh
Ms Mairéad Egan
Dr Geoff King
Ms Mary O’Brien
Mr Charles O’Neill
Mr Richard Shannon
UCD Centre for Immediate Care Services
TERMS OF REFERENCE CONSULTATION GROUP SET UP
• Mr Frank Kelly, Principal Engineer, SVUH
• To report to MERIT Steering Committee • Dr Niall MacAleenan, Medical Assessor of
• Medical Devices, IMB
• To complete task within three months • Mr Frank McClintock, Assistant Director,
• National Hospitals Office
• To consult with relevant parties as necessary
• • Ms Orla O’Dea, Procurement & Contracts
• To identify any associated issues of importance Manager, UCD
• Mr Patrick Pentony, ETC1 TC10 Executive
Member, Head of Clinical Engineering &
Medical Physics, Connolly Hospital
UCD Centre for Immediate Care Services UCD Centre for Immediate Care Services
CONTRIBUTORS
• Regional Training Officers / Ambulance Service Training Officers
• Paramedics / Advanced Paramedics
• Voluntary Organisations
• The Trade
• Registered Medical Practitioners / Consultants in Emergency
Medicine
• Specialist Nurses
UCD Centre for Immediate Care Services
PHECC CATEGORIES ASSESSMENTS UNDER 2 BROAD
1 CARDIAC FIRST RESPONDER HEADINGS
• The Purchasing Process
2 EMERGENCY FIRST RESPONDER
• Technical Specification
3 EMERGENCY MEDICAL TECHNICIAN
4 PARAMEDIC
5 ADVANCED PARAMEDIC
6 REGISTERED MEDICAL PRACTITIONER
UCD Centre for Immediate Care Services
UCD Centre for Immediate Care Services
The purchasing process
• Tables 2-9
• Procurement thresholds
• Suggested documents to request from supplier
• Cost consideration – AED / training
• EU Directives
• Environmental considerations
• After sales considerations / procedures
UCD Centre for Immediate Care Services
Technical Specification
• 6 levels of user with different needs
• Every AED feature to be assessed for each
user as being either:…………..
B
DEVELOPING TECHNOLOGIES
• A number of “Developing Technologies” are being
explored by the Industry
• Some reflect widely accepted issues such as
feedback on CPR Quality
• Other features have little or no published evidence
d fi d f t b fit
undefined or future benefits
• An example is the fact that manufacturers use
varying waveforms and energy levels in
defibrillation and it is currently not possible to
advise on the choice one over the other
•
Thank you for
y
your time and attention
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